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Published: 2023-01-31
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DOI: https://doi.org/10.52852/tcncyh.v162i1.1330
Issue
Vol. 162 No. 1 (2023)
Section
Các bài báo
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Thị Thu Hằng, N., Hồng Hà, N. ., & Hữu Lư, P. (2023). 11. Reconstruction of hand defects using free serratus anterior fascia flap. Journal of Medical Research, 162(1), 94-100. https://doi.org/10.52852/tcncyh.v162i1.1330

11. Reconstruction of hand defects using free serratus anterior fascia flap

Nguyen Thi Thu Hang, Nguyen Hong Ha, Pham Huu Lu

Main Article Content

Abstract

Serratus anterior fascia flap has many advantages in the single stage reconstruction of hand defects, especially defects in soft tissue with tendon injuries. We report the clinical outcomes in 5 patients who underwent reconstruction of the hand defects using the free serratus anterior fascia flap. The size of flap ranged from 10 x 6cm to 12 x10cm. In one patient, serratus fascia flap was accompanied by partial latissimus dorsi muscle. The outer surface of the flap was immediately covered by split-thickness skin grafts. No major postoperative complications such as flap loss, infection, dehiscence or hematoma were encountered in any patients. Three patients had complete flap survival, and two patients had marginal necrosis but secondary healing. All the patients showed durable and harmonious long-term flap coverage and good movement. In our study, the serratus anterior fascia flap were demonstrated to have stability, versatility and thinness, making it a good choice in the reconstruction complex soft tissue involving the hand.

Article Details

Keywords

Serratus anterior fascia flap, hand defects

References

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